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August 29, 2026European Respiratory Journal

The Role of Inflammation in the Pathogenesis of Pulmonary Fibrosis: Mechanisms and Treatment Implications

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Authors

NNNazanin NazemiBCBruno CrestaniDHDoumet Georges Helou

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Overview

Narrative review uncovers dynamic interactions between inflammation and tissue remodeling in fibrotic interstitial lung diseases, highlighting targets for personalized therapy.

Key Points

  • To examine the dynamic mechanistic interplay between inflammation and tissue fibrosis in fibrotic interstitial lung diseases and explore how these interactions affect therapeutic strategies.
  • Synthesized translational research and findings from experimental models evaluating fibrotic interstitial lung diseases and idiopathic pulmonary fibrosis.
  • Analyzed the bidirectional interactions and shared signaling cascades between cellular inflammatory pathways and fibrotic remodeling.
  • Inflammation acts as both an inciting driver and a secondary consequence of pulmonary fibrosis, establishing self-amplifying feed-forward loops across diverse disease phenotypes.
  • Fibrotic and inflammatory molecular signaling pathways show substantial cross-talk that varies considerably depending on the underlying disease etiology.
  • Tailoring clinical interventions according to the predominant inflammatory or fibrotic phenotype offers a pathway toward improved patient stratification and therapeutic outcomes.

Cite This Study

Nazemi et al. (2026) studied this question.

synapsesocial.com/papers/6a9299bb8e5d7d1fc0c11ddahttps://doi.org/10.1183/13993003.00258-2026
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